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This is VAERS ID 1373091

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1373091
VAERS Form:2
Age:30.0
Sex:Male
Location:Indiana
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 RA / SYR

Administered by: School      Purchased by: ??
Symptoms: Back pain, Bone pain, Diarrhoea, Fatigue, Headache, Heart rate increased, Irritability, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Pollen
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever 38.8 degrees in Celsius or 101.84 degrees in Fahrenheit, right arm pain, back pain, bone pain, splitting headache, heart speeding up, diarrhea, fatigue, feeling very irritated. No treatment but drinking a lot of cold water. Body temperature back to normal and feeling much better 2 days after the shot.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1373091&WAYBACKHISTORY=ON


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